| NPI | 1851542062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE ELAINE RIESMEYER Credentialing Coordinator 304-243-3124 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2019-07-25 |